MEDICARE: SUE A LEATHERMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35044589L	OH
2	207Q00000X	Family Medicine Physician	35.044589	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043217839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUE A LEATHERMAN M.D.

Provider Business Mailing Address
First Line	:	882 S HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213
Country	:	US
Telephone Number	:	614-235-5555
Fax Number	:	614-338-6805

Provider Business Practice Location Address
First Line	:	2365 INNIS RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224
Country	:	US
Telephone Number	:	614-416-4325
Fax Number	:	614-416-4320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/06/2011

Similar Medicare Providers

1407711757 — JOVAN KENDRICK
Practice Location Address:

2116 LANTERN DR APT C
COLUMBUS, OH
43224-5006

Practice Phone: 614-312-4863
Practice Fax:

1144182726 — BRIDGEWAY ABA LLC
Practice Location Address:

3296 WESTERVILLE RD # 1039
COLUMBUS, OH
43224-3790

Practice Phone: 720-999-2993
Practice Fax:

1487517892 — PATHXPRESS LLC
Practice Location Address:

2929 WESTERVILLE RD
COLUMBUS, OH
43224-4562

Practice Phone: 614-270-7203
Practice Fax:

1336002559 — DESTINY MARIE KOVALCHIK
Practice Location Address:

2899 MCGUFFEY RD
COLUMBUS, OH
43224-4133

Practice Phone: 614-966-7667
Practice Fax:

1265503700 — NUR BADSHAH MD
Practice Location Address:

2752 CLEVELAND AVE
COLUMBUS, OH
43224

Practice Phone: 614-784-0770
Practice Fax: 614-784-0777

1164414025 — CLINTON TOWNSHIP
Practice Location Address:

3820 CLEVELAND AVE
COLUMBUS, OH
43224-2426

Practice Phone: 614-471-6854
Practice Fax: 614-475-0023

Directions to “ SUE A LEATHERMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.